基于开放和腹腔镜技术的超轻、不可吸收Optomesh®ultralight手术网用于疝气手术治疗的有效性和安全性评估-回顾性分析。

IF 2.4 2区 医学 Q1 SURGERY
Hernia Pub Date : 2025-06-27 DOI:10.1007/s10029-025-03398-5
Marcin Włodarczyk, Łukasz Dziki, Inez Bilińska, Jarosław Szpunar, Krzysztof Konopka, Piotr Kasprzak, Magdalena Tokarska, Agata Kraj, Paulina Łąpieś, Witold Sujka
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引用次数: 0

摘要

背景:根据全球数据,疝手术是最常见的选择性外科手术。导致疝气发生的主要因素是腹壁的衰弱。治疗疝气的唯一有效方法,无论其类型如何,都是手术。在接下来的临床研究中,我们进行了回顾性-前瞻性分析。该研究的目的是在开放和腹腔镜技术的基础上,确定Optomesh®ULTRALIGHT手术网的有效性和安全性,该手术网由稳定的单丝聚丙烯针织织物切割制成,推荐用于重建外科手术,以填补和/或加强各种类型疝气治疗中的软组织缺陷。方法:研究纳入符合临床试验计划纳入和排除标准的患者171例,年龄22 ~ 70岁,其中女性20例,男性151例。术中绝大多数疝采用Lichtenstein手术技术(132例)。其他手术采用rivers - stoppa技术(23例)和腹腔镜TAPP、TEP技术(16例)。结果:结果收集术中资料及术后2次随访资料。通过对患者的访谈收集到的数据涉及复发频率、术后第一天的疼痛感觉、与补片植入相关的不适以及根据VAS评分的疼痛感觉。这些参数将有助于评估这种类型的植入物用于疝气手术治疗的治疗价值。第二次随访时的访谈证实了患者在舒适度和平均疼痛感觉方面的长期满意的接待。结论:Optomesh®ULTRALIGHT种植体不仅有效、安全,而且对患者不易察觉。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of the effectiveness and safety of the ultralight, non-resorbable Optomesh® ULTRALIGHT surgical meshes for surgical treatment of hernias based on open and laparoscopic techniques - a retrospective analysis.

Background: According to global data, hernia surgery is the most commonly performed elective surgical procedure. The primary factor that can lead to the development of a hernia is weakening of the abdominal wall. The only effective method of treating hernias, regardless of their type, is surgery. In the following clinical study, a retrospective - prospective analysis was performed. The aim of the study was to determine, based on open and laparoscopic techniques, the effectiveness and safety of Optomesh® ULTRALIGHT surgical meshes made from cuts of stabilized monofilament polypropylene knit fabric recommended for reconstructive surgical procedures to fill and/or strengthen soft tissue defects in the treatment of various types of hernias.

Methods: The study included 171 patients, aged 22 to 70 years, who met the inclusion and exclusion criteria specified in the clinical trial plan, including 20 women and 151 men. During surgery, the vast majority of hernias were operated using the Lichtenstein surgical technique (132 patients). The other operations were performed using the Rives-Stoppa technique (23) and laparoscopic TAPP, TEP technique (16).

Results: The results were collected from intraoperative data and data collected during 2 follow-up visits after the procedure. The presented data collected during interviews with patients concern the frequency of recurrences, pain sensation in the first days after the procedure, discomfort associated with mesh implantation and pain sensation according to the VAS scale. These parameters will help to assess the therapeutic value of this type of implants intended for surgical treatment of hernias. Interviews at the second follow-up visit confirmed the patients' long-term, satisfactory reception in terms of comfort and average pain sensation.

Conclusions: The Optomesh® ULTRALIGHT implant is not only effective and safe but also imperceptible to the patients.

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来源期刊
Hernia
Hernia SURGERY-
CiteScore
4.90
自引率
26.10%
发文量
171
审稿时长
4-8 weeks
期刊介绍: Hernia was founded in 1997 by Jean P. Chevrel with the purpose of promoting clinical studies and basic research as they apply to groin hernias and the abdominal wall . Since that time, a true revolution in the field of hernia studies has transformed the field from a ”simple” disease to one that is very specialized. While the majority of surgeries for primary inguinal and abdominal wall hernia are performed in hospitals worldwide, complex situations such as multi recurrences, complications, abdominal wall reconstructions and others are being studied and treated in specialist centers. As a result, major institutions and societies are creating specific parameters and criteria to better address the complexities of hernia surgery. Hernia is a journal written by surgeons who have made abdominal wall surgery their specific field of interest, but we will consider publishing content from any surgeon who wishes to improve the science of this field. The Journal aims to ensure that hernia surgery is safer and easier for surgeons as well as patients, and provides a forum to all surgeons in the exchange of new ideas, results, and important research that is the basis of professional activity.
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